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1710049523
ELISA N GREEN
HOMEWOOD, IL
NPI
1710049523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146.007764)
Enumeration Date
2006-12-15
Last Update Date
2007-07-08
Business Address
Mrs. ELISA N GREEN M.A., CCC-SLP
1055 175TH ST SUITE 101
HOMEWOOD, IL 60430-4610
Phone number: 312-238-2177
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Mailing Address
Mrs. ELISA N GREEN M.A., CCC-SLP
26422 S GREENWOOD AVE
CRETE, IL 60417-4528
Phone number: 708-672-4375
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